Individual provider Active NPI

Matthew Young Johnson, P.A.

  • Surgical Physician Assistant
  • Alabaster, AL
National Provider Identifier
1801931001
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.509 Issued in AL
Practice address
831 1St St N
Alabaster, AL 35007-8944
Phone
(205) 620-1085
Fax
(205) 620-1091
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.509 AL Primary

Addresses

Primary practice location

831 1St St N
Alabaster, AL 35007-8944

Mailing address

1130 22ND Street South Suite 1000
Birmingham, AL 35246-8007
Phone (205) 715-5943

Other practice location 1

1210 7th St S
Clanton, AL 35045-3724
Phone (205) 663-8590

Other identifiers 2

IdentifierTypeStateIssuer
51005353OtherALBLUE CROSS
009942984MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000380 AL Practitioner - Physician Assistant 2860590031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-7004

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849

831 1St St N
Alabaster, AL 35007-8944
Phone (205) 663-8590

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.509ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC CurrentSince Apr 1, 2018 Accepting new patients
Baptist Health Centers, LLC CurrentSince Apr 1, 2018 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

831 1st St N
Alabaster, AL 35007
Phone (205) 358-9120

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

Interoperability endpoints

  • Direct secure messaging: mjohnson15552@baptisthealthaldirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1801931001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 22ND STREET SOUTH SUITE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468007",
            "telephone_number": "205-715-5943",
            "fax_number": "205-715-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078944",
            "telephone_number": "205-620-1085",
            "fax_number": "205-620-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 7th St S",
            "address_purpose": "LOCATION",
            "city": "Clanton",
            "state": "AL",
            "postal_code": "350453724",
            "country_code": "US",
            "telephone_number": "205-663-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "YOUNG",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51005353",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942984",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.